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COMPLETE PROFESSIONAL SELF-REALIZATION OF HEALTHCARE SPECIALISTS WORKING WITH CHILDREN AND ADULTS WITH SPECIAL NEEDS

100%

Zheleva E.

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2020

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tom 20

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nr 20(13)

11-16

EN

The professional realization of healthcare professionals in dealing with children and adults with special needs requires them to have the knowledge, skills, and necessary professional competencies to identify, perform, and evaluate the activities related to the care of the disabled person. Their activity is focused on the health problem that leads the person with special needs to hospitalization in the medical establishment, which does not exclude satisfying his vital needs. Applying their knowledge and competencies, they collect the information they need for the disabled patient. The processed and specified information is implemented through appropriate interventions and subsequently the results obtained are evaluated. Health care requires logic, systematic to solve a particular health problem of the sick person, and they are an intellectual process [Zheleva 2004]]. The expected results of the professional realization of health care professionals in working with children and adults with special needs can be presented as the application of: learning scientific information on the problems of theoretical and practical aspects of health care nee-ded for children and adults with disabilities; forming knowledge, skills, and compe-tencies in the field of health care for the needy person.

2

Student paramedic exposure to workplace violence: a scoping review

88%

Belk S. , Armstrong J. , Ilczak T. , Webster C. A. , Sumera K.

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2024

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tom 7

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nr 1

34-48

EN

INTRODUCTION: Workplace violence (WPV) against healthcare professionals (HCPs), including student paramedics, is a global concern, with reported incidents ranging from physical to psychological abuse. The prehospital environment, characterised by its high-risk nature, presents unique challenges for student paramedics during clinical placements. To explore the extent and nature of WPV experienced by student paramedics during clinical placements, assess the impact of WPV on their training and psychological well-being, and identify existing support mechanisms and training provisions. MATERIALS AND METHODS: Included were research or review articles specifically exploring WPV experienced by student paramedics during clinical placements. Exclusions were applied to articles not focusing on student paramedics, those not in English, and publications outside the specified time frame. A comprehensive search strategy was used across the databases CINAHL, Medline, EMBASE, EMCARE, and PubMed, supplemented by grey literature searches via Google Scholar and citation searching. Data extraction was facilitated through a synthesis matrix and themes were identified and analysed. RESULTS: From 417 records identified, six articles were included, all conducted in Australia, revealing themes such as the risk and effects of WPV, lack of reporting, the role of the practice educator (PEds), and preparedness for WPV. Freedom of Information (FoI) requests to English Ambulance Services highlighted inconsistencies in recording WPV incidents and variability in support provided to student paramedics. CONCLUSIONS: WPV significantly impacts student paramedics' educational experience and psychological health. There is a crucial need for improved education on WPV, standardised reporting mechanisms, and enhanced support systems. Collaborative efforts between ambulance services and higher educational institutions (HEIs) are essential to address these challenges and ensure a safer learning environment for student paramedics.

3

Healthcare professionals’ perspectives on the challenges in the vaccination of Ukrainian child migrants and war refugees: findings from a qualitative study in Poland

75%

Lewtak K. , Nitsch-Osuch A. , Dzielska A. , Maciejewski T. , Atif (Nurzynska) A. , Sochoń-Latuszek A. , Kukuła K. , Kleszczewska D. W.

International Journal of Occupational Medicine and Environmental Health

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2024

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tom 37

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nr 6

602-616

EN

Objectives The aim of this qualitative research study was to explore the barriers encountered by Ukrainian war migrants and refugees in accessing vaccinations in Poland and the challenges related to delivering vaccinations observed by healthcare professionals (HCPs). Material and Methods The study was based on an analysis of data from 18 in-depth interviews with HCPs working with Ukrainian refugees conducted in Poland in July and August 2023. The authors analyzed the data using the UNICEF Journey to Health and Immunization (JHI) framework in order to identify bottlenecks and possible interventions that could solve existing problems in preventive healthcare for migrants. Results This qualitative study revealed that at each stage of the JHI, there were challenges related to vaccinating Ukrainian children in Poland, which were similar to those experienced in other countries – gaps in routine immunizations and the need to fill these gaps by ensuring refugee populations are fully included in routine immunization in the host country. The work environment, training, and communication with the Ukrainian mothers contribute to HCPs’ engagement in increasing vaccine uptake among their patients. The HCPs’ attitudes, skills, and experiences impacted their interactions with patients and participation in the immunization process. Healthcare professionals observed that the mother’s journey was influenced by vaccine literacy level, competing priorities, individual barriers of access (e.g., language barrier, costs), as well as feelings associated with the decision to vaccinate a child, including worries about vaccine safety. The surrounding cultural norms, social support, and past experiences with the Ukrainian health system also influenced decisions on vaccinations. Conclusions Overcoming barriers related to vaccinations requires a comprehensive approach, starting with expanding HCPs’ knowledge about migrants’ rights to health services, including vaccinations, improving communication between patients and HCPs, building vaccine literacy/trust in vaccinations, and achieving vaccination coverage through tailored and flexible systemic solutions.

4

Long-term healthcare professionals’ experiences of burnout and correlation between burnout and fatigue: A cross-sectional study

75%

Erjavec K. , Leskovic L.

International Journal of Occupational Medicine and Environmental Health

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2023

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tom 36

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nr 3

396-405

EN

Objectives The aim of the study was to analyze the long-term burnout levels of healthcare professionals (HCPs) working in Slovenian nursing homes during the fifth wave of the pandemic; to compare the results of similar facilities in 2020 and 2013; and to examine the correlation between demographics and burnout and fatigue among HCPs. Material and methods The study used a descriptive, correlational cross-sectional method. Results In the fifth wave, HCPs suffered more from emotional exhaustion, depersonalization and lack of personal accomplishment than in the first wave of the pandemic and in the spring of 2013. The HCPs caring for COVID-19 patients and younger women had higher rates of burnout and fatigue than other occupational groups. There is a strong positive correlation between burnout and fatigue. Conclusions There is an urgent need to address the problem of fatigue and burnout with administrative measures.

5

An investigation of healthcare professionals’ health beliefs about sportive recreational activities

75%

Pense M. , Kasımoğlu M.

International Journal of Occupational Medicine and Environmental Health

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2021

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tom 35

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nr 2

217-233

EN

ObjectivesIn this study, healthcare professionals’ beliefs about sportive recreational activities were examined.Material and MethodsThis was a cross-sectional study conducted with 940 volunteer healthcare professionals. The Sociodemographic Information Form prepared by the authors and the Health-Belief Scale on Sportive Recreational Activities (HBSSRA) determined on the basis of their literature review were used to collect data.ResultsAlthough it was concluded that 72% of the healthcare professionals did not have enough free time, the participation rate in sportive recreational activities reached 71.4%. The study revealed that 44.9% of the participants preferred to engage in sportive recreational activities individually, while 55.1% wanted to do such activities in a group. It was found that 72.9% of the participants took part in sports activities for health-related reasons. The mean health-belief score of the healthcare professionals regarding recreational activities was found to be 80.38 (SD = 10.32). As this score is very close to the maximum value (105.00), it can be stated that their health beliefs are high.ConclusionsIt is understood that participation in sportive recreational activities has positive effects on individuals’ physical and mental health; however, there are also some factors that prevent individuals’ participation in such activities. The income level, the marital status, the spouse’s employment status, having children, and time spent at the place of residence are important factors preventing participation in sportive recreational activities. This study is expected to help individuals gain a perspective about participation in sportive recreational activities, and to provide more evidence in raising the awareness about the protection of individual health. In addition, it is expected to help shape the behaviors aimed at being healthy by improving one’s own health-related beliefs.

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Emotional dissonance and exhaustion among healthcare professionals: the role of the perceived quality of care

75%

Fiabane E. , Dordoni P. , Setti I. , Cacciatori I. , Grossi C. , Pistarini C. , Argentero P.

International Journal of Occupational Medicine and Environmental Health

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2019

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tom 32

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nr 6

841-851

EN

Objectives The aim of this exploratory study was to analyze the association between emotional dissonance and emotional exhaustion among healthcare professionals, and the mediating role of the perceived quality of care in this relationship. Material and Methods Self-report questionnaires were administered to 724 healthcare workers. The measurement model was tested and the mediation hypothesis was verified through hierarchical multiple regression analyses. Bootstrapping was used to construct confidence intervals to evaluate the mediation effects. Results Emotional dissonance was significantly related to emotional exhaustion, and the perceived quality of care was negatively related to emotional exhaustion. The perceived quality of care had a partial mediating effect on the relationship between emotional dissonance and emotional exhaustion. Emotional dissonance had a significant effect on emotional exhaustion, and the perceived quality of care was a mediating factor in this relationship among healthcare professionals. Conclusions The management of the perceived quality of care may be helpful in the prevention of burnout and distress in the workplace. Int J Occup Med Environ Health. 2019;32(6):841–51

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Ukončení péče o pacienta z pohledu zdravotnických pracovníků

75%

Černíková N.

Časopis zdravotnického práva a bioetiky (Journal of Medical Law and Bioethics)

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2021

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tom 11

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nr 1

53-71

EN

The area of the right to the provision of medical care is currently receiving attention mainly from the perspective of the patient, but not from the perspective of a healthcare professional. The right of a healthcare professional not to provide medical care is an area which, despite its importance, receives relatively little attention. The topic of this article is narrowed down only to the area of termination of medical care. This leaves aside the legal regulation of the reasons for which the medical care provider is entitled to refuse to accept a patient into care. The primary goal of this article was to verify the functionality of the legal regulation from the point of view of health professionals. This was done by research, carried out in the form of a questionnaire survey. Respondents (healthcare professionals and medical students) answered questions (in the area of termination of medical care) to ascertain their awareness of the current legislation and its applicability in practice, as well as questions about possible changes that could improve their professional relationship with patient. The answers thus reflect not only their opinion on the state of the current legislation, but also include de lege ferenda considerations. Before the main part of the article, which consists of the results of questionnaire survey, a theoretical introduction was included for better orientation in the issue. This theoretical introduction summarizes the current legislation in this area. The article provides a new insight into the legal regulation of the termination of medical care through the eyes of those who are confronted with this legal regulation on a daily basis.

CS

Oblasti práva na poskytnutí zdravotní péče je v současné době věnována pozornost zejména z pohledu pacienta, nikoliv však z pohledu zdravotnického pracovníka. Právo zdravotnického pracovníka neposkytnout zdravotní péči je oblast, které se navzdory její důležitosti věnuje relativně malá pozornost. Téma tohoto článku je zúženo, a to pouze na oblast ukončení péče o pacienta. Stranou je tak ponechána právní úprava důvodů, pro které je poskytovatel zdravotních služeb oprávněn odmítnout přijetí pacienta do péče. Primárním cílem tohoto článku bylo pomocí vlastního výzkumu, provedeného formou dotazníkového šetření, ověřit funkčnost zkoumané právní úpravy v praxi z pohledu zdravotnických pracovníků. Respondenti (zdravotničtí pracovníci a studenti lékařských fakult) odpovídali jednak na otázky, kterými bylo zjišťováno jejich povědomí o platné právní úpravě a její využitelnosti v praxi, a dále na otázky, týkající se možných změn, které by jejich očima mohly zlepšit fungování vztahu zdravotnického pracovníka a pacienta v oblasti ukončování zdravotní péče. Odpovědi respondentů tak odráží nejen jejich názor na stav současné právní úpravy, ale zahrnují i úvahy de lege ferenda. Před samotnou hlavní částí, která je tvořena výsledky vlastního dotazníkového šetření, byl pro lepší orientaci v celé problematice zařazen i teoretický úvod, který shrnuje platnou právní úpravu v této oblasti. Článek poskytuje nový náhled na právní úpravu ukončování zdravotní péče očima těch subjektů, kteří jsou s ní při výkonu svého povolání každodenně konfrontováni.